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Bob Youmans 788-5262 11/24/1999 09:36:20 fu~ P.2 CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF D~D RESTRICTIONS The undersigned understands that this permit may be subject to .deed restrictionaU which may be more restrictive than City regulations. The undersIgned assumes responsibility far compliance witb any applicable deed restrictions. B. UNLICENSED CONTRACTORS A"~D CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contraetor is not licensed as required by law. both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work. they are advised to contact the CIty of Zephyrhl11s Building Department. B13-7BB-6611. Yurth.rmor.. it th. owner ha$ hired A contractor or contractors, he is advised to have the contrsctor(sl sign portions of the "Contractor SectionsW of this application for which they will be responsible. If you. as the owner signs as the contractor, you are indicating that you, rather than the contractor. are responsible for the work. If the contractor wishes you to sign as contractor that may be an indication rhat he is not properly licensed and is not entitled to permitting priviLeges in the City of Zephyrhilis. C. TRANSPORTATION IMl'ACT FEES AND UTILITY CotlNI!:CTION Fl!:ES D. CONSTRUCTUION LIEN LAW (CHAPTER 713. FLORID-' STATUTES. AS AMENDEDl 1 certify that I. the appLicant. have been provided with a copy of "Florida'. Construction lien Law - Homeowner's Protec~ion Guide. prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the ~ownerw. I cerify that I have obtained a copy of the above described document and promise in 90~ faith to aeliver it to the ~ownerw prior to commenc~nt. E. CONTRACTOR' S/OWNER' S AFf'ItlAVIT I certify that all the information in thie application is accurate and that all work will be done in compliance with ail appLicable laws regulating construction. zoning, and land development. Application is hereby made to obtain a permit to do work and ~n8taliation as indicated. r certify that no work or Inetallation bas commenced prior to issuance or a vermlt and that all work will be performed to meet standarda of all laws regulating construction, City codes. zoning regulations. and land development requlations in the jurisdiction. I alao certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is my responsibility to identify what dctions I must take to be 1n compliance. Such agencies include but are not limited to: 'Department of ~nvironmental Requl~tion-Cypress Bayheads. Wetland ~reas and Enviro~ntslly Sensitive Landsr lIate.r/Waslewater TU'IaLJuent .southwest tlorida Water Manaqe~ent District-Wells. Cypress 8ayheaus. Wetland Areas. AlteLing Watetcourses .Army Coxps of Enqineers-Seawalls, Docks. Navigable Waterways .Department of Health , Rehabilitative Services. Environmental Health Unit-Wells. Waatewater Treatment. Septic Tanka 'u.s. Environmental Protection Agency-Asbestos abatement I also certify that, if fili material is to be ~sed in Flood Zone "AH or ~A,etc.~. it i. understood that a drainage plan addressing a ~compenaating volumeH will be submitted which is p.repared by a profeas1onal engineer registered in the State of Florida peior to perta1.t ie.uanee. A permit i..ued shall be construed to be a license to proceed with the work and not as authority to violate, cancel. alter. Or set aside any plovisions of the technical cod... nor shall i..~anc. of a p.~t prevent the Building Official from thereafter requiring a correction of er~ors in plan5, consc~uction. or violations of any code. Evety pe~t iasued shall become invalid uo1eaa the work authorized by such pe~t is commenced within six months of issuance. or if work authorized by the permit is auapended or abandoned for a period of six montbs after the tine the work i. commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six mQnth period. or the project will be considered abandoned. WArolING TO OWNER: YOUR FAILURE TO RECORD A NOTICI!: OF COMM!:NCDtEJfT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN l"lNANCING, CONsUI.T WITH YOUR LENDER OR AN ATIORNEY BP:l'ORE RECORDING YOUR NOTICE OF COMMENcEMENT. JOBS UNDER $2.50 N VALUE OO!lOT BED TO RECORD AND POST A ~NOTIC! OF CQt4MENCEMENTw. STATE OF FLORIDA COUNTY OF The {oregoing instrumellL W<l1O Before _ this _ day of by ackoo..loOdged . 19_ (name of person acknowledg@d) o who is personally known to ...... or o who ha. produced {type and whoQ did Ddid not of identification} take an ....th. Signature of person taking acknowledgeMent Name typed. printed or st""'Ped SIGNATURE: CONTAACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was BeCo.re me this -----pay of by acltnowledCJed , 19...:... lname of person acknawledqa.U C1ho is personally known to me. or o who has ploduced itype of identificaLlunl and who Ddid [):lid not take An oath Signature of person taking acknowLedgment Name typed. prInted or staMpBd